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Published in: BMC Medicine 1/2013

Open Access 01-12-2013 | Research article

How do autoimmune diseases cluster in families? A systematic review and meta-analysis

Authors: Jorge Cárdenas-Roldán, Adriana Rojas-Villarraga, Juan-Manuel Anaya

Published in: BMC Medicine | Issue 1/2013

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Abstract

Background

A primary characteristic of complex genetic diseases is that affected individuals tend to cluster in families (that is, familial aggregation). Aggregation of the same autoimmune condition, also referred to as familial autoimmune disease, has been extensively evaluated. However, aggregation of diverse autoimmune diseases, also known as familial autoimmunity, has been overlooked. Therefore, a systematic review and meta-analysis were performed aimed at gathering evidence about this topic.

Methods

Familial autoimmunity was investigated in five major autoimmune diseases, namely, rheumatoid arthritis, systemic lupus erythematosus, autoimmune thyroid disease, multiple sclerosis and type 1 diabetes mellitus. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed. Articles were searched in Pubmed and Embase databases.

Results

Out of a total of 61 articles, 44 were selected for final analysis. Familial autoimmunity was found in all the autoimmune diseases investigated. Aggregation of autoimmune thyroid disease, followed by systemic lupus erythematosus and rheumatoid arthritis, was the most encountered.

Conclusions

Familial autoimmunity is a frequently seen condition. Further study of familial autoimmunity will help to decipher the common mechanisms of autoimmunity.
Appendix
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Metadata
Title
How do autoimmune diseases cluster in families? A systematic review and meta-analysis
Authors
Jorge Cárdenas-Roldán
Adriana Rojas-Villarraga
Juan-Manuel Anaya
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2013
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-11-73

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